Betsy A Kendziorski in Port Washington - Clinical
Betsy A Kendziorski - NPI 1861446320
Betsy A Kendziorski is a Clinical in Port Washington, Wisconsin. Betsy A Kendziorski practices all healthcare services and medical treatments related to Clinical. The NPI Number for Betsy A Kendziorski is 1861446320. The last update date is 2007-10-18.
Betsy A Kendziorski's current location address is 1317 W Grand Ave, Port Washington, Wisconsin. You can contact this provider via phone number 2622845789 and fax number 2622845907. The mailing address for Betsy A Kendziorski is 1317 W Grand Ave, Port Washington, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Betsy A Kendziorski |
|---|---|
| Address | 1317 W Grand Ave, Port Washington, Wisconsin |
| Phone Number | 2622845789 |
| Fax Number | 2622845907 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1861446320 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2007-10-18 |
Provider Mailing Address Detail
| Address | 1317 W Grand Ave |
|---|---|
| City | Port Washington |
| State | Wisconsin (WI) |
| Post Code | 530742075 |
| Phone Number | 2622845789 |
| Fax Number | 2622845907 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2806-123 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39256100 | WI | -- |
Post Comment/ Review Below
What is the Betsy A Kendziorski's 1861446320?
The Betsy A Kendziorski's NPI (National Provider Identifier) Number is 1861446320. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Betsy A Kendziorski's facilities are situated?
The facilities of Betsy A Kendziorski are physically located at the following address: 1317 W Grand Ave, Port Washington, WI, 530742075.
What is Betsy A Kendziorski's specialized field of practice, and what is the corresponding taxonomy classification code?
The Betsy A Kendziorski's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Betsy A Kendziorski receive the assignment of its 1861446320 from the Centers for Medicare & Medicaid Services?
The Betsy A Kendziorski was issued its 1861446320 by the Centers for Medicare & Medicaid Services on 2006-05-20.
When was the information related to Betsy A Kendziorski most recently updated or refreshed?
The details pertaining to the Betsy A Kendziorski, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-18.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH